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Case Report

Med Arch. 2010; 64(6): 377-378

Pericardial Tamponade Due to Synergistic Effects of Tuberculosis and Myxedema

Ahmet Karabulut, Mahmut Cakmak.

Tuberculosis is a leading cause of massive pericardial effusion and tamponade especially in underdeveloped and developing countries. Hypothyroidism is also associated with pericardial effusion with rare progression to tamponade. We present a case of pericardial tamponade who diagnosed as both tuberculosis and myxedema at admission. Urgent pericardiocentesis performed as an initial therapy and four-agents antituberculous and thyroxine replacement therapy started immediately as long term management. Coexistance of tuberculosis and myxedema is a rare condition and they can cause tamponade formation with synergistic effect. Such a additive etiologies of pericardial tamponade have not been reported.

Key words: Tuberculosis; Myxedema; Cardiac tamponade.

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